BRISTOL HOSPICE - NW LOUISIANA
NPI 1114200870
Hospice Care, Community Based in Minden, LA

NPI Status: Active since September 20, 2011

Contact Information

1634 HIGHWAY 531
MINDEN, LA
ZIP 71055
Phone: (318) 382-9396
Fax: (318) 377-2120

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 19D2256893
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 03-28-2026

About BRISTOL HOSPICE - NW LOUISIANA

This page provides the complete NPI Profile along with additional information for Bristol Hospice - Nw Louisiana, a provider established in Minden, Louisiana operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1114200870 assigned on September 2011. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Bristol Hospice - Nw Louisiana. The authorized official of this NPI record is Alex E Mauricio (President Ceo)

NPI
1114200870
Provider Legal Name
REGIONAL HOSPICE CARE GROUP NWLA, LLC
Other Organization Name
BRISTOL HOSPICE - NW LOUISIANA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1634 HIGHWAY 531 MINDEN, LA 71055
Location Phone
(318) 382-9396
Location Fax
(318) 377-2120
Mailing Address
REGIONAL HOSPICE CARE GROUP, NWLA 1634 HIGHWAY 531 MINDEN, LA 71055
Mailing Phone
(318) 382-9396
Mailing Fax
(318) 377-2120
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2011
Last Update Date
09-26-2023
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 01-05-2006 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue Connect 80/60 $3200 (L) - POS
  • Blue Connect 80/60 $3200 (N) - POS
  • Blue Connect 80/60 $3200 (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) - POS
  • Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) - POS
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Community Blue 80/60 $3200 - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEX E MAURICIO

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(801) 325-0175

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1584169MEDICAID (05)LA 

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)191616
Ownership TypeFor-Profit
Medicare Certification Date01-05-2006
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
141.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
6
Care Provided in Home
Percentage of days patients received care in home
44
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
48
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
99.7
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.7
Hospice and Palliative Care Pain Screening
Facility observed rate
99.4
Hospice and Palliative Care Pain Assessment
Facility observed rate
99.6
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.4
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
99.5
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
100.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
98.6
Hospice Visits in the Last Days of Life
512
Hospice Visits in the Last Days of Life
Facility observed rate
63.7
Hospice Care Index Overall Score
Facility observed rate
9.0
CHC/GIP provided (% days)
76,679
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
400
Gaps in nursing visits (% elections)
Facility observed rate
22.0
Gaps in nursing visits (% elections)
12
Early live discharges (% live discharges)
86
Early live discharges (% live discharges)
Facility observed rate
3.5
Early live discharges (% live discharges)
31
Late live discharges (% live discharges)
86
Late live discharges (% live discharges)
Facility observed rate
55.8
Late live discharges (% live discharges)
87
Burdensome transitions, Type 1(% live discharges)
86
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
24.4
Burdensome transitions, Type 1 (% live discharges)
98
Burdensome transitions, Type 2(% live discharges)
86
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
1.2
Burdensome transitions, Type 2 (% live discharges)
51
Per-beneficiary spending (U.S. dollars $)
760
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
15,437
Per-beneficiary spending (U.S. dollars $)
43
Nurse care minutes per routine home care days (minutes)
76,579
Nurse care minutes per routine home care days (minutes)
Facility observed rate
18.5
Nurse care minutes per routine home care days (minutes)
92
Skilled nursing minutes on weekends (% minutes)
1,413,975
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
4.8
Skilled nursing minutes on weekends (% minutes)
14
Visits near death (% decedents)
586
Visits near death (% decedents)
Facility observed rate
92.8
Visits near death (% decedents)
47
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
19
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
17
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
36
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
3
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
4
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
5
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2256893
Facility Type
Hospice
Certificate Effective Date
March 29, 2024
Certificate Expiration Date
March 28, 2026
Laboratory Director
SAMUEL K. ABSHIRE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bristol Hospice - Nw Louisiana to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114200870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124400814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 0 + 0 + 8 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114200870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881327674 CHRISTIE MCDEARMONT
Individual
Nurse Practitioner (Gerontology)1634 HIGHWAY 531
MINDEN, LA 71055
(225) 329-1550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114200870, enumerated in the NPI registry as an "organization" on September 20, 2011

The provider is located at 1634 Highway 531 Minden, La 71055 and the phone number is (318) 382-9396

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 19D2256893 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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